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CaucasusBarometer 2013 CB2013 EN Questionnaire PDF
CaucasusBarometer 2013 CB2013 EN Questionnaire PDF
CaucasusBarometer 2013 CB2013 EN Questionnaire PDF
Questionnaire
Household Unique ID
V1. |____|____|____|____|____|____| |____|____|
[TO BE FILLED IN BY INTERVIEWER]
Interview accepted 1
Interview disqualified 2
1
Cover pages of the local language questionnaires reflect country-specific situation (legal status/logo) of CRRC and
its current relation with EPF (where relevant).
1 CB 2013
[INTERVIEWER! GREET THE HOUSEHOLD MEMBER IN THE OFFICIAL TITULAR
LANGUAGE OF /COUNTRY/. IF THE HOUSEHOLD MEMBER DOES NOT REPLY IN THE SAME
LANGUAGE, PROBE OTHER LANGUAGES APPLICABLE IN THIS CLUSTER (IF ANY). IF THE
HOUSEHOLD MEMBER DOES NOT REPLY IN ANY OF THE LANGUAGES, PROVIDE THIS
INFORMATION IN THE INTERVIEWER FORM.]
[INTERVIEWER! MAKE SURE YOU ARE TALKING TO AN ADULT (18 YEARS OLD OR
OLDER). MEMORIZE THE FOLLOWING TEXT AND ADDRESS THE PERSON WHO OPENED
THE DOOR IN THE LANGUAGE THE PERSON ANSWERED YOU IN. IF THE HOUSEHOLD
MEMBER REFUSES TO PARTICIPATE AT ANY POINT DURING THE INTRODUCTION,
PROVIDE THIS INFORMATION IN THE INTERVIEWER FORM.]
Hello, my name is /last name and first name/ and I represent the Caucasus Research Resource
Centers, a non-profit independent research center which is a program of the Eurasia Partnership
Foundation2 in /country/. We are conducting our annual survey and would like to ask your
household a number of questions to help better understand people’s opinions and conditions in our
country. Your household has been selected randomly, along with a couple thousand other
households in /country/, and it is very important for the reliability of the results that you agree to
participate in this survey.
Participation in our survey is voluntary and will be confidential and completely anonymous. Your
household member’s name will not be linked to the responses recorded on this survey, nor will
researchers be able to link your identity or address to the responses recorded. On behalf of our
organization, I ask you to help us understand what people think about life in our country.
This interview will take approximately 55 minutes, depending on the size of your household. I will
need your help to identify the adult household member I will be interviewing. This selection should
be done according to a special procedure that ensures random selection of the respondent. It’s very
important that we follow certain steps while identifying this member of the household.
Let’s talk about your household. By “household” we mean people currently living with you most of
the time, regardless of their legal place of residence, and who share income and expenses. I would
like to ask you to tell me only about the members who currently live with you.
V4. Please tell me, according to the definition provided, how many people, including you, live
currently in your household?
|____|____| PEOPLE
(Don’t know) -1 NON-
(Refuse to answer) -2 RESPONSE
V5. And how many of these people are adults (age 18 and older)?
|____|____| PEOPLE
(Don’t know) -1 NON-
(Refuse to answer) -2 RESPONSE
2
The text of the local language questionnaires adjusted according to the situation in the respective country.
2 CB 2013
V6a. Please list the age of all adult male members of your household, starting with the oldest one.
Thank you!
[INTERVIEWER! WRITE THE PROVIDED INFORMATION IN COLUMNS “Sex” AND
“Age” OF TABLE V6 BELOW.DO NOT RECORD HOUSEHOLD MEMBERS’ NAMES.]
V6b. Now, please list the age of all adult female members of your household, starting with the
oldest one. Thank you!
[INTERVIEWER! WRITE THE PROVIDED INFORMATION IN COLUMNS “Sex” AND
“Age” OF TABLE V6 BELOW. DO NOT RECORD HOUSEHOLD MEMBERS’ NAMES.]
TABLE V6
No. Sex Age Selected household member
1.
2.
3.
4.
5.
6.
[INTERVIEWER! CONSULT KISH TABLE TO IDENTIFY CODE FOR TABLE V7, BASED ON
THE PROVIDED HOUSEHOLD NUMBER. CIRCLE THE CODE FROM KISH TABLE IN COLUMN
“CODE” OF TABLE V7 BELOW.]
[INTERVIEWER! USE TABLE V7 TO SAMPLE THE RESPONDENT. FIND AND CIRCLE THE
NUMBER ON THE INTERSECTION OF THE NUMBER OF ADULT HOUSEHOLD MEMBERS
LISTED IN TABLE 6 AND THE RESPECTIVE CODE FROM THE KISH TABLE.]
TABLE V7
Number of adult household members (recorded in Table V6)
1 2 3 4 5 6 (and more)
Code: Sample the adult household member whose No. (in Table V6) is:
A 1 1 1 1 1 1
B1 1 1 1 1 2 2
B2 1 1 1 2 2 2
C 1 1 2 2 3 3
D 1 2 2 3 4 4
E1 1 2 3 3 3 5
E2 1 2 3 4 5 5
F 1 2 3 4 5 6
3 CB 2013
[INTERVIEWER! GO BACK TO TABLE V6 AND WRITE CODE ‘1’ IN COLUMN “Selected
household member” IN THE ROW WHERE THE SELECTED HOUSEHOLD MEMBER IS
RECORDED. WRITE CODE ‘0’ IN THE ROWS FOR ALL OTHER HOUSEHOLD MEMBERS.]
L1. In which language would you like to conduct this interview? Would you prefer… [READ
OUT]
4 CB 2013
[INTERVIEWER! IF THE RESPONDENT CHOOSES NONE OF THE LANGUAGES OFFERED,
THIS IS CONSIDERED NON-RESPONSE AND CODE ‘6’ IS ENTERED IN THE INTERVIEWER
FORM. IF YOU CAN DETERMINE IT, ENTER THE RESPONDENT’S LANGUAGE OF CHOICE IN
THE SPACE PROVIDED (“OTHER LANGUAGE” IN QUESTION L1). THANK THE RESPONDENT
AND DOCUMENT NON-RESPONSE IN THE INTERVIEWER FORM.]
5 CB 2013
1. First, I will read out a list of activities. Could you please tell me which of these
activities have you been involved in during the past 6 months?
Don’t know
applicable
Refuse to
answer
Yes
Not
No
Attended a public meeting.
[INTERVIEWER! BY PUBLIC
MEETING, WE MEAN A GATHERING
1. OF THE MEMBERS OF A GIVEN 1 0 -5 -1 -2
COMMUNITY IN ORDER TO DISCUSS
THE ISSUES THAT ARE OF
IMPORTANCE FOR THE COMMUNITY
MEMBERS.]
Went to a restaurant.
4. [INTERVIEWER! INCLUDING 1 0 -5 -1 -2
PIZZERIA, STEAKHOUSE,
‘SAKHINKLE’, ETC.]
6 CB 2013
Part 1.
N1. [SHOW CARD N1] Overall, how happy would you say you are? Please use this
CARD, where ‘1’ means “Extremely unhappy” and ‘10’ means “Extremely happy;”
please choose any number between 1 and 10, which best reflects your situation.
|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2
N2. [SHOW CARD N2] Generally speaking, would you say that most people in /country/
can be trusted, or that you can’t be too careful in dealing with people? Please use this
CARD, where ‘1’ corresponds to answer “You can’t be too careful” and ‘10’
corresponds to answer “Most people can be trusted.”
[INTERVIEWER! WRITE THE CODE FROM THE SHOW CARD.]
|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2
N3. Overall, how would you rate your health? Would you describe it as … [READ OUT]
Very good, 5
Good, 4
Fair, 3
Poor, 2
or Very poor? 1
(Don’t know) -1
(Refuse to answer) -2
7 CB 2013
N4. On average, how many cigarettes do you smoke per week?
|___|___|___| NUMBER
N5. Are you currently exercising on a regular basis, for at least 2 hours per week?
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
N6. [SHOW CARD N6] When you get together with your close relatives and friends, how
often do you discuss each other’s private problems? Please use this CARD.
|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2
8 CB 2013
N7. Now I am going to read out a list of nationalities. Can you please tell me whether you
approve or disapprove of people of your ethnicity doing business with…
[INTERVIEWER! ASK LINE BY LINE ABOUT EACH ETHNIC GROUP FROM
TABLE N7. WRITE CODE CORRESPONDING TO RESPONDENT’S ANSWER IN
COLUMN N7. USE CODE ‘-1’ FOR “DON’T KNOW” AND CODE ‘-2’ FOR
“REFUSE TO ANSWER”.]
2. Armenians?
3. Azerbaijanis?
4. Europeans?
5. Georgians?
6. Iranians?
7. Jews?
8. Kurds, Yezidis?
9. Russians?
10. Turks?
FOR GEORGIA ONLY: 3
11. Abkhazians?
12. Ossetians?
Azerbaijanis living in
14.
Georgia?
FOR ARMENIA ONLY: 4
15. Molokans?
3
Questions about Abkhazians; Ossetians; Armenians living in Georgia; and Azerbaijanis living in Georgia present in
Georgia only.
4
Question about Molokans present in Armenia only.
9 CB 2013
N9. Do you have a family member or close relative currently living abroad, outside the
borders of /country/?
N10. Do you have any close friends currently living abroad, outside the borders of
/country/?
N11. [SHOW CARD N11] Please tell me which comes closest to your view on this CARD,
where ‘1’ means “Everything in life is determined by fate” and ‘10’ means “People
shape their fate themselves”.
|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2
N12. [SHOW CARD N12] All things considered, how satisfied are you with your own life
as a whole nowadays? Please use this CARD, where ‘1’ means “Not satisfied at all”
and ‘10’ means “Completely satisfied.”
|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2
10 CB 2013
N13. [SHOW CARD N13] Using this CARD, where ‘1’ means “Not at all likely” and ‘10’
means “Very likely”, please tell me, how likely or how unlikely is it for you to receive
some help from your close relatives, friends, and neighbors in the following matters:
(Don’t (Refuse to
Code:
know) answer)
Repair your house / apartment.
N14. [SHOW CARD N14] Using this CARD, where ‘1’ means “Can never be justified” and
‘10’ means “Can always be justified”, please tell me to what extent, in your opinion,
each of the following actions can be justified or not?
(Don’t (Refuse to
Code:
know) answer)
11 CB 2013
N15.5 [SHOW CARD N15] To what extent do you trust or distruct the Georgian Orthodox
church? Please use this CARD, where ‘1’ means “Do not trust at all” and ‘10’ means
“Completely trust.”
|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2
Thank you for telling me about your friends, relatives, and your own feelings.
5
Question N15 to be asked in Georgia only.
12 CB 2013
Part 2.
I will now ask you several questions about your activities.
J1. [SHOW CARD J1] Which of the following best describes your situation? Please
think about the activity or situation which is primary for you.
|____|____|____|____| YEAR
Never had a job -5
(Don’t know) -1
(Refuse to answer) -2
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
13 CB 2013
J4. Have you been looking for a job during the past four weeks, or not?
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
J5. If a suitable job were available, would you be able to start working within the next
14 days?
Yes 1
No 0 GO TO J12
(Don’t know) -1
(Refuse to answer) -2
J6. [SHOW CARD J6] Speaking about your primary place of employment only, which of
the following best describes your status and the type of workplace?
|____|____|____|____| YEAR
(Don’t know) -1
(Refuse to answer) -2
J8. [SHOW CARD J8] Which of the following best describes the sector in which you
work?
[INTERVIEWER! ACCEPT ONLY ONE ANSWER.]
7
We are interested from which year has the respondent been working in the same institution, no matter whether
his/her position in this institution has changed or not.
8
This includes all those who work in agricultural sector (‘сельское хозяйство’), including people who are
informally self-employed. For example, people who collect apples from their garden and sell them on the road also
count here.
15 CB 2013
J9. [SHOW CARD J9] And which of the following best describes the job you do?
[INTERVIEWER! ACCEPT ONLY ONE ANSWER.]
J10. [SHOW CARD J10] Using this CARD, please tell me, overall, how satisfied or
dissatisfied are you with your job?
16 CB 2013
J11. [SHOW CARD J11] Using this CARD, please tell me, to what extent do you agree or
disagree with the statement:
(Don’t know)
Completely
Completely
Somewhat
Somewhat
(Refuse to
disagree
disagree
answer)
agree
agree
1. I feel valued at work. 1 2 3 4 -1 -2
2. I am fairly compensated. 1 2 3 4 -1 -2
INTERVIEWER!
THE FOLLOWING QUESTIONS SHOULD BE ASKED TO ALL RESPONDENTS.
J12. [SHOW CARD J129] Speaking about your personal monetary income last month,
after all taxes are paid, to which of the following groups do you belong? Please think
of all sources of income that you had last month.
[INTERVIEWER! ASK ABOUT RESPONDENT’S NET INCOME LAST MONTH.]
9
Show Card in local currencies and updated based on the latest exchange rate.
17 CB 2013
J13. Do you currently have any personal savings?
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
J17. Has anybody in your household started a new job during the last 12 months?
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
18 CB 2013
J18. Has anybody in your household lost10 his/her job during the last 12 months?
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
J19. Have you done any unpaid or paid work for your family’s or close relative’s business
for at least one hour within the past week?
J20. [SHOW CARD J20] Which of the following factors do you consider most important
for getting a good job in /country/?
Age 1
Appearance 2
Connections 3
Education 4
Hard work 5
Luck 6
Talent 7
Professional abilities, work experience 8
Doing favors for the ‘right’ people 9
(Other) 10
(Don’t know) -1
(Refuse to answer) -2
10
NOTE FOR TRANSLATION: By “lost job”, we mean this happened against the person’s will – the person was
either fired, or the workplace does not exist any longer, etc.
19 CB 2013
Part 3.
P1. [SHOW CARD P1] There are different opinions regarding the direction in which
/country’s/ domestic politics are going. Which of the following would you personally
agree with?
[INTERVIEWER! ACCEPT ONLY ONE ANSWER.]
P2. [SHOW CARD P2] Using this CARD, please tell me, overall, how well do you think
TVs in /country/ inform the population about what is actually going on in /country/?
Very Quite [In the (Don’t (Refuse to
Quite well Very well
poorly poorly middle] know) answer)
1 2 3 4 5 -1 -2
P3. [SHOW CARD P3] I will read out a list of social institutions and political unions.
Please assess your level of trust toward each of them on a 5-point scale, where ‘1’
means “Fully distrust”, and ‘5’ means “Fully trust”. First, please tell me how much
do you trust or distrust /country’s/ …?
[INTERVIEWER! READ OUT THE INSTITUTIONS LINE BY LINE. ACCEPT ONE
ANSWER IN EACH ROW.]
20 CB 2013
ROTATION CODE: 1 17
TABLE P3 Neither
Somew Somew (Refuse
Fully trust Fully (Don’t
hat hat to
distrust nor trust know) answer)
distrust trust
distrust
1. Healthcare system? 1 2 3 4 5 -1 -2
2. Banks? 1 2 3 4 5 -1 -2
3. Educational system? 1 2 3 4 5 -1 -2
State Students
3a. Admisstions 1 2 3 4 5 -1 -2
Committee?11
4. Army? 1 2 3 4 5 -1 -2
5. Court system? 1 2 3 4 5 -1 -2
6. NGOs? 1 2 3 4 5 -1 -2
7. Parliament? 1 2 3 4 5 -1 -2
Executive government
8. (Prime minister and 1 2 3 4 5 -1 -2
ministers)?
9. President? 1 2 3 4 5 -1 -2
10. Police? 1 2 3 4 5 -1 -2
12. Media? 1 2 3 4 5 -1 -2
11
To be asked in Azerbaijan only.
21 CB 2013
P4. What do you think is the most important issue facing /country/ at the moment?
[INTERVIEWER! DO NOT READ OUT THE OPTIONS. CIRCLE CODE
CORRESPONDING TO THE RESPONDENT’S ANSWER IN COLUMN P4. ONLY
ONE ANSWER.]
P5. And tell me the second most important issue facing /country/ at the moment.
22 CB 2013
P6. [SHOW CARD P6] When you get together with your close relatives and friends, how
often do you discuss politics / current affairs? Please use this CARD, where ‘1’
means “Never”, and ‘10’ means “Always.”
|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2
P7. Under the present government in /country/, do you completely agree, somewhat
agree, somewhat disagree, or completely disagree that people like yourself are
treated fairly by the government?
Completely agree 4
Somewhat agree 3
Somewhat disagree 2
Completely disagree 1
(Don’t know) -1
(Refuse to answer) -2
P8. In /country/ today, do you think or not that people like yourself have the right to
openly say what they think?
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
23 CB 2013
P9. [SHOW CARD P9] Please tell me which of the following statements you agree with?
[INTERVIEWER! AFTER THE RESPONDENT CHOOSES THE STATEMENT,
ASK: “Do you agree with this statement or do you agree very strongly with this
statement?” ACCEPT ONLY ONE ANSWER.]
Statement 1: Statement 2:
People are like children; the government Government is like an employee; the
should take care of them like a parent. people should be the bosses who control the
government.
Agree very strongly Agree with Statement 1 Agree with Statement 2 Agree very strongly
with Statement 1 with Statement 2
1 2 3 4
[DO NOT READ] Agree with neither 5
(Don’t know) -1
(Refuse to answer) -2
P10. [SHOW CARD P10] On this CARD, you see two opposite views. How would you place
your views on this scale?
Private Government
(Don’t know)
ownership of ownership of
(Refuse to
answer)
business and business and
industry industry
should be should be
increased. increased.
1 2 3 4 5 6 7 8 9 10 -1 -2
P11. [SHOW CARD P11] Please tell me which of the following statements do you agree
with?
[INTERVIEWER! AFTER THE RESPONDENT CHOOSES THE STATEMENT,
ASK: “Do you agree with this statement or do you agree very strongly with this
statement?” ACCEPT ONLY ONE ANSWER.]
Statement 1: The court system in /country/ Statement 2: The court system in /country/
favors some citizens over others. treats all citizens equally, rather than
favoring some over others.
Agree very strongly Agree with Statement 1 Agree with Statement 2 Agree very strongly
with Statement 1 with Statement 2
1 2 3 4
[DO NOT READ] Agree with neither 5
(Don’t know) -1
(Refuse to answer) -2
24 CB 2013
P12. [SHOW CARD P12] Which of the following statements do you agree with?
[INTERVIEWER! AFTER THE RESPONDENT CHOOSES THE STATEMENT,
ASK: “Do you agree with this statement, or do you agree very strongly with this
statement?” ACCEPT ONLY ONE ANSWER.]
Statement 1: Statement 2:
People should participate in protest actions People should not participate in protest
against the government, as this shows the actions against the government, as it
government that the people are in charge. threatens stability in our country.
Agree very strongly Agree very strongly
Agree with Statement 1 Agree with Statement 2
with Statement 1 with Statement 2
1 2 3 4
[DO NOT READ] Agree with neither 5
(Don’t know) -1
(Refuse to answer) -2
P13. If presidential elections were held next Sunday, would you participate in the
elections or not? Would you … [READ OUT]
Certainly participate, 4
Most probably participate, 3
Most probably not participate, 2
or Certainly not participate? 1
(Don’t know) -1
(Refuse to answer) -2
P14. Did you vote in the last /national [type of election]/ election?12
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
P15. Would you say that the most recent /type of election/ election was conducted …
[READ OUT]
Completely fairly, 3
To some extent fairly, 2
or Not at all fairly? 1
(Don’t know) -1
(Refuse to answer) -2
12
Country-specific: last national election named in each country.
25 CB 2013
P16. [SHOW CARD P16] Using this CARD, where ‘1’ means “Not important at all” and
‘10’ means “Extremely important”, please tell me, in your opinion, how important or
unimportant it is for a good citizen to…
(Don’t (Refuse to
Code:
know) answer)
P17. In your opinion, how much of a democracy is /country/ today? Is it … [READ OUT]
A full democracy, 4
A democracy but with minor problems, 3
A democracy but with major problems, 2
or Not a democracy? 1
(Don’t know) -1
(Refuse to answer) -2
26 CB 2013
P18. [SHOW CARD P18] Which of these three statements is closest to your own opinion?
[INTERVIEWER! ACCEPT ONLY ONE ANSWER.]
P19. [SHOW CARD P19] Using a scale of 1 to 5, where ‘1’ means no support and ‘5’
means your full support, to what extent would you support /country’s/ membership
in NATO?
P20. [SHOW CARD P19] Using the same CARD, please tell me to what extent would you
support /country’s/ membership in the European Union?
P21. [SHOW CARD P19] Using the same CARD, please tell me to what extent would you
support /country/’s membership in the Eurasian Economic Community?
27 CB 2013
P22. In your opinion, which country is currently main friend of /country/?
________________________________
(Don’t know) -1
(Refuse to answer) -2
________________________________
(Don’t know) -1
(Refuse to answer) -2
28 CB 2013
Part 4.
Now, I am going to ask you some information about yourself.
D1. There are a number of ethnic groups living in /country/. Which ethnic group do you
consider yourself a part of?
D2. [SHOW CARD D2] How proud or how not proud are you to be part of this ethnic
group?
|____|____| CODE
(Don’t know) -1
(Refuse to answer) -2
D3. Starting with elementary school and counting up to the highest level of education you
have achieved to date, how many years of study have you completed?
|____|____| YEARS
(Don’t know) -1
(Refuse to answer) -2
13
Not present in Azerbaijan for all questions.
29 CB 2013
D4. [SHOW CARD D4] What is the highest level of education you have achieved to date?
No primary education. 1
Primary education (either complete or incomplete). 2
Incomplete secondary education. 3
Completed secondary education. 4
Secondary technical education. 5
Incomplete higher education. 6
Completed higher education (BA, MA, or Specialist degree). 7
Post-graduate degree. 8
(Don’t know) -1
(Refuse to answer) -2
D5. [SHOW CARD D4] What is the highest level of education your father has achieved?
No primary education. 1
Primary education (either complete or incomplete). 2
Incomplete secondary education. 3
Completed secondary education. 4
Secondary technical education. 5
Incomplete higher education. 6
Completed higher education (BA, MA, or Specialist degree). 7
Post-graduate degree. 8
(Don’t know) -1
(Refuse to answer) -2
D6. [SHOW CARD D6] What is the highest level of education your mother has achieved?
No primary education. 1
Primary education (either complete or incomplete). 2
Incomplete secondary education. 3
Completed secondary education. 4
Secondary technical education. 5
Incomplete higher education. 6
Completed higher education (BA, MA, or Specialist degree). 7
Post-graduate degree. 8
(Don’t know) -1
(Refuse to answer) -2
30 CB 2013
D7. [SHOW CARD D7] Using this CARD, please tell me which one of these levels best
describes your ability in the following:
[INTERVIEWER! READ OUT LOUD LINE BY LINE FROM TABLE D7. ACCEPT
ONE ANSWER PER ROW.]
Intermediate
knowledge
Advanced
(Refuse to
Beginner
No basic
answer)
TABLE D7
(Don’t
know)
1. Russian 1 2 3 4 -1 -2
2. English 1 2 3 4 -1 -2
D8. Which foreign language, if any, do you think should be mandatory in secondary
schools of /country/?
31 CB 2013
D9. [SHOW CARD D9] In your opinion, what is the best way to organize admissions to
the universities in /country/?
D10. How often do you use the Internet? Do you use the Internet … [READ OUT]
Every day, 1
At least once a week, 2 GO TO
At least once a month, 3 D12
Less often, 4
or Never? 5 ASK D11
[DO NOT READ] I don’t know what the Internet is. 6
(Don’t know) -1 GO TO
D17
(Refuse to answer) -2
32 CB 2013
D11. What is the main reason why you do not use the Internet?
33 CB 2013
D12. [SHOW CARD D12] Which of the following do you do most frequently when you are
browsing the Internet? Please name three most frequent activities.
(Don’t know) -1
(Refuse to answer) -2
1 Receive / send emails
Use social networking sites (e.g. Odnoklassniki,
2
Facebook, My Space, Google+, etc.)
3 Use Skype (for instant messaging and for calls)
Use instant messenger other than Skype (ICQ,
4
MSN, etc.)
5 Engage in forum discussions
6 Write a blog / read other’s blogs
7 Search for information (Google, Wiki, etc.)
8 Shop
Read / listen to / watch the news apart from social
9
networking sites, including watching online TV
10 Download / Listen to / Watch music/videos/movies
11 Play online games
12 Visit dating websites
13 Other
34 CB 2013
D14. [SHOW CARD D14] How many friends do you currently have on Facebook?
Less than 50 1
51 – 100 2
101 – 250 3
251 – 500 4
501 – 1000 5
More than 1000 6
(Don’t know) -1
(Refuse to answer) -2
D15. [SHOW CARD D15] Using this CARD, please tell me what do you do most
frequently, when you are actually on Facebook?
D16. Do you usually find it easy or hard to express your opinion in Facebook newsfeed or
in your comments?
Easy 1
Hard 0
(Not applicable - Do not express opinions or write
-5
comments on Facebook)
(Don’t know) -1
(Refuse to answer) -2
35 CB 2013
D17. What do you think is the ideal number of children per family in /country/?14
|____|____| CHILDREN
D18. Which religion or denomination, if any, do you consider yourself belong to?
[INTERVIEWER! DO NOT READ OUT OPTIONS. MATCH THE RESPONDENT’S
ANSWER TO THE CORRESPONDING CODE. ACCEPT ONLY ONE ANSWER.]
D19. [SHOW CARD D19] How important is religion in your daily life? Please use this
CARD.
14
We have to make sure that the respondents understand this to mean what number of children they think is best,
rather than what they think the average number of children people have in their country.
15
Not present in Azerbaijan.
36 CB 2013
D20. [SHOW CARD D20] Apart from special occasions such as weddings and funerals,
about how often do you attend religious services nowadays? Please use this CARD.
Every day 1
More than once a week 2
Once a week 3
At least once a month 4
Only on special holidays 5
Less often 6
Never 7
(Don’t know) -1
(Refuse to answer) -2
D21. How often do you fast when it is required by your religious traditions? Do you…
[READ OUT]
Always fast, 1
Often fast, 2
Sometimes fast, 3
Rarely fast, 4
or Never fast? 5
[DO NOT READ] (Fasting is not required in my religion) -5
(Don’t know) -1
(Refuse to answer) -2
D22. [SHOW CARD D22] Overall, how religious would you say you are? Please use this
CARD, where ‘1’ means “Not at all religious” and ‘10’ means “Very religious.”
|___|___| CODE
(Don’t know) -1
(Refuse to answer) -2
37 CB 2013
Now let me ask you what do you think about living in /country/.
D23. If you had a chance, would you leave /country/ for a certain period of time to live
somewhere else?
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
D24. If you had a chance, would you leave /country/ forever to live somewhere else?
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
D25. Have you or any member of your household been in a situation during the last 12
months when you/they had to pay a bribe in order to get a service or to obtain
preferential treatment or consideration?
Yes 1
No 0
(Don’t know) -1
(Refuse to answer) -2
38 CB 2013
Part 5
There have been discussions recently about social assistance programs in /country/. Let me
ask your opinion about these programs.
WB1_AR. [SHOW CARD WB1] The Family Benefit Program is Armenia’s largest state run
program to provide cash assistance to poor families. About one out of three poor
families currently receives social assistance from the government. Please tell me
which of the following opinions do you agree with?
[INTERVIEWER! AFTER THE RESPONDENT CHOOSES THE STATEMENT,
ASK: “Do you agree with this statement or do you agree very strongly with this
statement?” ACCEPT ONLY ONE ANSWER.]
Statement 1: Statement 2:
Social assistance should be covering fewer Social assistance should be covering more
poor families than it does today, and the poor families than it does today, even if this
savings should be used on other public results in having fewer public services or
services or lowering taxes. higher taxes.
Agree very strongly Agree with Statement 1 Agree with Statement 2 Agree very strongly
with Statement 1 with Statement 2
1 2 3 4
[DO NOT READ] Agree with neither 5
(Don’t know) -1
(Refuse to answer) -2
WB1_AZ. [SHOW CARD WB1] Targeted Social Assistance is Azerbaijan’s largest state run
program to provide cash assistance to poor families. According to national statistics
agency, about 6 percent of families in Azerbaijan are poor, but not all of them
currently receive Targeted Social Assistance from the government. Please tell me
which of the following opinions do you agree with?
Statement 1: Statement 2:
Social assistance should be covering fewer Social assistance should be covering more
poor families than it does today, and the poor families than it does today, even if this
savings should be used on other public results in having fewer public services or
services or lowering taxes. higher taxes.
Agree very strongly Agree with Statement 1 Agree with Statement 2 Agree very strongly
with Statement 1 with Statement 2
1 2 3 4
[DO NOT READ] Agree with neither 5
(Don’t know) -1
(Refuse to answer) -2
39 CB 2013
WB1_GE.[SHOW CARD WB1] Targeted Social Assistance is Georgia’s largest state run
program to provide cash assistance to poor families. About one out of three poor
families currently receives social assistance from the government. Please tell me
which of the following opinions do you agree with?
[INTERVIEWER! AFTER THE RESPONDENT CHOOSES THE STATEMENT,
ASK: “Do you agree with this statement or do you agree very strongly with this
statement?” ACCEPT ONLY ONE ANSWER.]
Statement 1: Statement 2:
Social assistance should be covering fewer Social assistance should be covering more
poor families than it does today, and the poor families than it does today, even if this
savings should be used on other public results in having fewer public services or
services or lowering taxes. higher taxes.
Agree very strongly Agree with Statement 1 Agree with Statement 2 Agree very strongly
with Statement 1 with Statement 2
1 2 3 4
[DO NOT READ] Agree with neither 5
(Don’t know) -1
(Refuse to answer) -2
WB2. [SHOW CARD WB2] In other countries, social assistance is given to a larger share
of the poor than in /country/, but, in exchange, recipients are required do certain
actions like searching for work, or sending children to school. To what extent do you
agree or disagree to extend the number of poor families included in [Family Benefit
Program16 / Targeted Social Assistance Program17] in exchange of requiring some of
these actions from recipients?
Completely disagree 1 GO TO
WB4_A/GE
Disagree 2
Agree 3
Completely agree 4
(Don’t know) -1 GO TO
(Refuse to answer) -2 WB4_A/GE
16
Wording for Armenia.
17
Wording for Azerbaijan and Georgia.
40 CB 2013
WB3.18 Please tell me, do you think or not that …
[INTERVIEWER! READ OUT LINE BY LINE. ONE ANSWER IN EACH ROW.]
(Refuse to
answer)
(Don’t
know)
Yes
No
Recipients of social assistance with
1. children must ensure their children 1 0 -1 -2
regularly attend school.
WB4_A.19 [SHOW CARD WB4a] Subsidies are government expenditures that keep local prices
fixed or at least prevent them from rising fast. In /country/, the tariff for gas is fixed
or prevented from rising fast via subsidies. Instead of spending money on subsidizing
the gas tariff, the government could spend that money on social assistance for the
poor, or other public services. If you could choose, what would be your preference?
The government should let the price of gas rise, and distribute the saved
1
money to the poor.
The government should let the prices of gas rise, and distribute the saved
2
money to all families except the wealthy.
The government should let the prices of gas rise, and distribute the saved
3
money to all families.
The government should let the price of gas rise, and use the money saved
4
to improve health and education.
The government should continue keeping the price of gas low. 5
(Don’t know) -1
(Refuse to answer) -2
18
WB3_1 through WB3_3 are for all countries, to be asked in all relevant cases (following the skip pattern in the
previous question).
19
This question is for Armenia and Azerbaijan.
41 CB 2013
WB4_GE.20 [SHOW CARD WB4ge] Using this CARD, please tell me to what extent would you
agree or disagree that the government should provide the following services, even if
this requires imposing higher taxes (including sales tax / VAT ) or spending less on
other public services:
(Don’t know)
Completely
Completely
Somewhat
Somewhat
(Refuse to
disagree
disagree
answer)
agree
agree
Guarantee free basic health
1. 1 2 3 4 -1 -2
insurance to the poor.
20
This question is for Georgia only.
42 CB 2013
One more very important issue in /country/ is related to the human rights.
GIZ1. [SHOW CARD GIZ1] Using this CARD, please tell me, usually, where do you get
information about your rights from?
(Don’t know) -1
(Refuse to answer) -2
(The respondent does not get any information -5
about human rights)
1. TV: Talk shows
2. TV: News programs
3. TV: Social ads
4. TV: Other
5. Newspapers
6. Radio: News
7. Radio: Talk shows / interviews
8. Radio: Social ads
9. Radio: Other
10. Internet: Blogs
11. Internet: Official websites of organizations, e.g.
Ministries, NGOs, the media
12. Internet: Online legislation sources
13. Internet: Social networking sites
14. Internet: Other
15. Other (e.g., street banners)
GIZ2. The media in /country/ devotes certain time to disseminate information about
your rights – e.g., your political rights, rights in relation with the state institutions,
consumer rights. In the last three years, do you think the media coverage
regarding your rights has: [READ OUT]
Improved, 3
Did not change, 2
or Deteriorated? 1
(There is no such coverage) -4
Not applicable (the respondent does not follow the media
-5
at all)
(Don’t know) -1
(Refuse to answer) -2
43 CB 2013
GIZ3. Compared with the situation three years ago, do you think you know your rights
better, about the same, or worse?
GIZ4. To what extent would you agree or disagree that, currently, courts in /country/
are free from governmental influence? Would you … [READ OUT]
Completely disagree, 1
Disagree, 2
Agree, 3
Or Completely agree? 4
(Don’t know) -1
(Refuse to answer) -2
GIZ5. [SHOW CARD GIZ5] Using this CARD, where code ‘1’ means “Not at all”, and
code ‘10’ means “Very well”, please tell me how well you feel you know
/country’s/ laws regulating rights and obligations of the employees?
|___|___| NUMBER
(Don’t know) -1
(Refuse to answer) -2
GIZ6. [SHOW CARD GIZ5] Using the same CARD, please tell me how well do you feel
you know /country’s/ laws regulating family life, rights and obligations of the
spouses, and divorce?
|___|___| NUMBER
(Don’t know) -1
(Refuse to answer) -2
44 CB 2013
Thank you for all your answers. For now, we are done with the personal questions. At this
point, I have some questions about your household.
A1. Now, I would like to ask you about all the members of your household that live here
most of the time, including yourself. I am only interested in your household
members’ characteristics, and I won’t ask you their names. Let’s start with you.
[INTERVIEWER! RESPONDENT IS PRE-CODED IN THE FIRST ROW IN COLUMN A2
OF TABLE A1 GO TO QUESTION A3_R. THAN, CONTINUE THROUGH QUESTION
A8_R WHILE ASKING ABOUT THE RESPONDENT.]
A2. [SHOW CARD A2] What is next household member’s relationship to the
respondent?
[INTERVIEWER! WRITE DOWN THE CORRESPONDING CODE FROM THE SHOW
CARD IN THE NEXT BLANK ROW IN COLUMN A2 OF TABLE A1. USE CODE ‘-1’ FOR
“DON’T KNOW” AND CODE ‘-2’ FOR “REFUSE TO ANSWER”.]
21
Respective page number may be different in the local language questionnaires.
45 CB 2013
A4_R. In what year were you born?
A4_H. In what year was this member of the household born?
[INTERVIEWER! WRITE DOWN THE FOUR-DIGIT YEAR IN COLUMN A4 OF TABLE
A1.]
[INTERVIEWER! DO NOT ACCEPT A NON-RESPONSE. IF THE RESPONDENT
CANNOT REMEMBER THE EXACT YEAR OF BIRTH, PROBE AGAIN. IF THE
RESPONDENT STILL CANNOT REMEMBER THE YEAR OF BIRTH OF THE HOSEHILD
MEMBER, ASK: “In which decade was this person born?” AND [SHOW CARD A4]. WRITE
DOWN THE FOUR-DIGIT CODE FOR DECADE FROM THE SHOW CARD IN COLUMN
A4 OF TABLE A1.]
A6_R. Are you currently employed? This employment may be part-time or full-time,
official, informal, or self-employment, but it brings monetary income.
A8. Now, I would like you to tell me about the next household member.
46 CB 2013
TABLE A1
Only if the
Place of Only if the HH member
Relationship
Sex birth HH member was born
to the
was born before 1997
respondent
Year of birth before 1999 Marital
1 Male Employed? status
Show
2 Female Show 1 Yes
CARD A2
CARD A5 0 No Show
CARD A7
No. A2 A3 A4 A5 A6 A7
1. 1 |___|___|___|___|
2. |___|___|___|___|
3. |___|___|___|___|
4. |___|___|___|___|
5. |___|___|___|___|
6. |___|___|___|___|
7. |___|___|___|___|
8. |___|___|___|___|
9. |___|___|___|___|
10. |___|___|___|___|
11. |___|___|___|___|
12. |___|___|___|___|
13. |___|___|___|___|
47 CB 2013
Part 7.
Households in all countries have different living and economic conditions. Now, I would like
to ask you for some information about the living and economic conditions of your
household.
C1. [SHOW CARD C1] Which of the following statements best describes the current
economic situation of your household?
C2a. Now, I will read you a series of household items. Please note that we are only
interested in items that your household owns and that are in normal working order.
Please tell me whether or not your household owns /item/.
[INTERVIEWER! IN CASES WHERE THE HOUSEHOLD OWNS THIS ITEM (CODE ‘1’
IN COLUMN “Own?”), ASK QUESTIONS C2b AND C2c ABOUT THIS ITEM.
IF THE RESPONDENT’S ANSWER IS “No” (CODE ‘0’), ASK QUESTION C2a ABOUT
THE NEXT ITEM.]
C2b. How many [items] does your household own?
[INTERVIEWER! WRITE DOWN THE NUMBER IN THE RESPECTIVE CELL.
USE CODE ‘-1’ FOR “DON’T KNOW” AND CODE ‘-2’ FOR “REFUSE TO
ANSWER”.]
C2c. Please tell me the year the latest model was purchased.
[INTERVIEWER! WRITE DOWN THE FOUR-DIGIT YEAR IN THE RESPECTIVE
CELL. USE CODE ‘-5’ FOR “NOT PURCHASED” (e.g. a gift). IF THE RESPONDENT
CAN NOT REMEMBER THE EXACT YEAR, SHOW CARD C2, AND WRITE
DOWN THE CODE CORRESPONDING TO THE RESPECTIVE DECADE. IF THE
RESPONDENT CAN NOT REMEMBER WHEN THE ITEM WAS PURCHASED, USE
CODE ‘-1’ FOR “DON’T KNOW”, AND CODE ‘-2’ FOR “REFUSE TO ANSWER”.]
48 CB 2013
[INTERVIEWER! DO NOT ASK FOR THE NUMBER OF LAND LINE PHONES
AND INTERNET ACCESS. IN CASES WHERE THE HOUSEHOLD HAS ACCESS
(CODE ‘1’ IN COLUMN “Own?”), ASK: “Since which year has your household had
internet access?”, AND WRITE DOWN THE FOUR-DIGIT YEAR IN THE
RESPECTIVE CELL. USE CODE ‘-1’ FOR “DON’T KNOW” AND CODE ‘-2’ FOR
“REFUSE TO ANSWER”.]
Automatic washing
3. |____| |____|____| |____|____|____|____|
machine
|____|
IF ‘No,’
‘-1’, or
8. Cell phone
‘-2’
GO to
C2_10 |____|____| |____|____|____|____|
Activated Internet From which year it has been available?
9. access from your |____|
personal cell phone |____|____|____|____|
How many? Year the latest model
|____| was purchased:
Personal computer, IF ‘No,’
10. including laptop
‘-1’, or |____|____|
‘-2’ |____|____|____|____|
Go to C3
Internet access from From which year it has been available?
11. your home |____|
computer or laptop |____|____|____|____|
49 CB 2013
C3. Households may experience financial difficulties. Please tell me, over the course of a
typical month, does your household have to limit consumption or use of the following
due to budget difficulties?
[INTERVIEWER! READ OUT LINE BY LINE. USE CODE ‘-5’ FOR “NOT
APPLICABLE”, CODE ‘-1’ FOR “DON’T KNOW” AND CODE ‘-2’ FOR “REFUSE
TO ANSWER.”]
Yes 1
No 0
1. Bread, pasta
2. Butter, milk
4. Beef
5. Pork
6. Fish
8. Potatoes
10. Electricity
11. Gas
12. Transportation
C4. [SHOW CARD C4] Speaking about the past 12 months, how often did it happen that
you did not have enough money to buy the food you or your family needed? Please
tell me which of the options on this CARD reflect your situation best?
Every day 1
Every week 2
Every month 3
Less often 4
Never 5
(Don’t know) -1
(Refuse to answer) -2
50 CB 2013
C5. Many households obtain income from several sources. I will read out several possible
sources of income and please, tell me whether your household had monetary income
from each of these sources in the last 12 months. Please think about the income of all
members of your household.
[INTERVIEWER! ACCEPT ONE ANSWER IN EACH ROW.]
(Refuse
(Don’t
Yes No to
Know)
answer)
Money from family members, relatives, or
1. 1 0 -1 -2
friends living elsewhere in this country.
51 CB 2013
C6. [SHOW CARD C622] Household income is a sum of monetary income of all
household members. Speaking about monetary income of all your household
members last month, to which of the following groups does your household belong?
C7. [SHOW CARD C6] Using the same CARD, please tell me your household’s spending
last month?
22
Show Cards in local currencies, updated according to the latest exchange rate.
52 CB 2013
C8. In the past 6 months, how often has your household borrowed any money to buy
food? Have you borrowed money … [READ OUT]
Each week, 1
Each month, 2
Every other month, 3
Less frequently, 4
or Never? 5
(Don’t know) -1
(Refuse to answer) -2
C9. In the past 6 months, how often has your household borrowed any money to pay for
utilities? Have you borrowed money … [READ OUT]
Each week, 1
Each month, 2
Every other month, 3
Less frequently, 4
or Never? 5
(Don’t know) -1
(Refuse to answer) -2
C10. [SHOW CARD C10] Using this CARD, let’s imagine there is a 10-step ladder
reflecting the economic standing of all households in /country/ today. The first rung
of this ladder corresponds to the lowest possible economic position in society, while
the 10th rung corresponds to the highest possible position. On which rung of this
ladder do you think your household currently stands?
|___|___| RUNG
(Don’t know) -1
(Refuse to answer) -2
53 CB 2013
C11. [SHOW CARD C10] And again using this CARD, on which rung of this ladder do
you think your household will be standing 5 years from now?
|___|___| RUNG
(Don’t know) -1
(Refuse to answer) -2
C12. Relative to most of the households around you, would you describe the current
economic condition of your household as … [READ OUT]
Very good, 5
Good, 4
Fair, 3
Poor, 2
or Very poor? 1
(Don’t know) -1
(Refuse to answer) -2
C13. [SHOW CARD C1323] What is the minimal monthly income that would enable your
household live a normal life?
23
Show Card in local currencies and updated based on the latest exchange rate.
54 CB 2013
C14. Do you think your children will be better off or worse off financially than you are
when they are your age?
Better off 3
[DO NOT READ] (The same) 2
Worse off 1
GO TO
(Not applicable – No children) -5 HELP_C
(Don’t know) -1
(Refuse to answer) -2
C15. [SHOW CARD C15] Which of the following, in your opinion, will contribute to your
children being better off?
Luck 1
Education 2
Inheritance 24 3
Connections 4
Marriage to a right person 5
God’s blessing 6
Talent 7
Self-confidence 8
Ability to work hard 9
Motivation 10
Political environment in /country/ 11
Economic situation in /country/ 12
The prospects of joining the EU 13
Other 14
(Don’t know) -1
(Refuse to answer) -2
No 0
24
Financial assets and/or real estate.
55 CB 2013
Part 8.
[INTERVIEWER! IF THE RESPONDENT WAS USING HELP OF OTHER HOUSEHOLD
MEMBERS WHILE ANSWERING QUESTIONS OF THE PREVIOUS SECTION, PLEASE
MAKE SURE S/HE ANSWERS THE QUESTIONS OF THIS SECTION ON HIS/HER OWN,
WITHOUT THE HELP FROM OTHER HOUSEHOLD MEMBERS.]
Let me ask several questions about the situation in the South Caucasus.
Yes 1
No 0
GO TO
(Don’t know) -1 RC5
(Refuse to answer) -2
RC2. [SHOW CARD RC2] In your opinion, how likely is it to find a solution to the
Nagorno Karabakh conflict within the next 5 years by … ?
(Don’t know)
Very likely
(Refuse to
unlikely
unlikely
answer)
Rather
Rather
likely
Very
2 [by] force? 1 2 3 4 -1 -2
25
This question to be asked in Georgia only.
56 CB 2013
RC3_AR.26 Various ideas have been proposed for settling the Nagorno Karabakh
conflict. As I mention each idea, please tell me whether you would definitely favor it;
might accept it under certain circumstances; or would never accept it.
circumstances
Accept under
(Don’t know)
Never accept
(Indifferent)
Definitely
(Refuse to
answer)
certain
favor
Have Nagorno-Karabakh as a
1 3 2 1 -5 -1 -2
formal part of Armenia.
Have Nagorno-Karabakh as an
2 3 2 1 -5 -1 -2
independent country.
Have Nagorno-Karabakh in
5 3 2 1 -5 -1 -2
Azerbaijan without autonomy.
26
Question to be asked in Armenia only.
57 CB 2013
RC3.27 Various ideas have been proposed for settling the Nagorno Karabakh conflict. As I
mention each idea, please tell me whether you would definitely favor it; might accept
it under certain circumstances; or would never accept it.
circumstances
Accept under
(Don’t know)
Never accept
(Indifferent)
Definitely
(Refuse to
answer)
certain
favor
Have Nagorno-Karabakh in
1 3 2 1 -5 -1 -2
Azerbaijan without autonomy.
Have Nagorno-Karabakh as an
4 3 2 1 -5 -1 -2
independent country.
Have Nagorno-Karabakh as a
5 3 2 1 -5 -1 -2
formal part of Armenia.
Yes 1
No 0 FINISH THE
(Don’t know) -1 INTERVIEW
AND THANK
(Refuse to answer) -2 THE
RESPONDENT29
27
Question to be asked in Azerbaijan and Georgia.
28
Question to be asked in Armenia and Azerbaijan.
29
Instruction for Armenia: ‘Ask ESS1’ or ‘Ask ESS4’.
58 CB 2013
RC5. When do you think the conflict in Abkhazia will be resolved?
RC6. Various ideas have been proposed for settling of the Georgian-Abkhaz conflict. As I
mention each idea, please tell me whether you would definitely favor it; might accept
it under certain circumstances; or would never accept it.
circumstances
Accept under
(Don’t know)
Never accept
(Indifferent)
Definitely
(Refuse to
answer)
certain
favor
59 CB 2013
Questionnaire Type 1
ESS1.30 [SHOW CARD ESS1] Using a scale of 5 to 1, where ‘5’ means no support and ‘1’
means your full support, to what extent would you support Armenia’s membership
in NATO?
ESS2. [SHOW CARD ESS1] Using the same CARD, please tell me to what extent would
you support Armenia’s membership in the European Union?
ESS3. [SHOW CARD ESS1] Using the same CARD, please tell me to what extent would
you support Armenia’s membership in the Eurasian Economic Community?
Questionnaire Type 2
ESS4. [SHOW CARD ESS4] Using a scale of 1 to 5, where ‘1’ means no support and ‘5’
means your full support, to what extent would you support Armenia’s membership
in NATO?
Don’t (Refuse
Fully (Don’t
support at to
support know)
all answer)
1 2 3 4 5 -1 -2
30
Questions ESS1 through ESS5 are to be asked in Armenia only.
60 CB 2013
ESS5. [SHOW CARD ESS4] Using the same CARD, please tell me to what extent would
you support Armenia’s membership in the European Union?
Don’t (Refuse
Fully (Don’t
support at to
support know)
all answer)
1 2 3 4 5 -1 -2
ESS6. [SHOW CARD ESS4] Using the same CARD, please tell me to what extent would
you support Armenia’s membership in the Eurasian Economic Union?
Don’t (Refuse
Fully (Don’t
support at to
support know)
all answer)
1 2 3 4 5 -1 -2
THANK YOU.
Please note that according to the existing practice of conducting this kind of survey, some
interviews will be checked by our company a few weeks after the date of the interview. We
cannot know in advance whether our interview will be checked; but in case if another
representative of our research center happens to check whether we had this interview
today, please do not be surprised.
The only goal of such a check is to make sure that the interviews were conducted according
to the required standards of quality. In the event of such a check, please note that all your
answers will remain strictly confidential.
61 CB 2013
[INTERVIEWER! ANSWER THE FOLLOWING QUESTIONS IMMEDIATELY AFTER
FINISHING THE INTERVIEW.]
W2. How often was the respondent distracted during the interview? [CIRCLE ONE
ANSWER]
Never 1
Just for a few questions (fewer than ten) 2
For some questions, but not that many (approximately between 10
3
and 20)
For a substantial number of questions, but less than half the
4
interview
Throughout most of the interview, or through the entire interview 5
W3. How often did you feel that the respondent lacked knowledge about the questions
you asked?
Never 1
Just for a few questions (fewer than ten) 2
For some questions, but not that many (approximately between 10
3
and 20)
For a substantial number of questions, but less than half the
4
interview
Throughout most of the interview, or through the entire interview 5
62 CB 2013
W4. How often did you feel the respondent was reluctant to answer the questions?
Never 1
Just for a few questions (less than ten) 2
For some questions, but not that many (approximately between 10
3
and 20)
For a substantial number of questions, but less than half the interview 4
Throughout most of the interview, or through the entire interview 5
W5. How often did you feel the respondent was reluctant to use the SHOW CARDS (read
them carefully him/herself)?
Never 1
Just for a few show cards (less than ten) 2
For some show cards, but not that many (approximately 25% of the
3
show cards)
For a substantial number of show cards, but less than half them 4
Throughout most of the interview, or through the entire interview 5
W6. On a scale of 1 to 5, how would you rate the respondent’s level of intelligence?
Not at all intelligent 1
Not very intelligent 2
Average 3
Intelligent 4
Very intelligent 5
1 2 3 4 5 6 7 8 9 10
W8. How tired was the respondent in the end of the interview? Please use this scale.
Not tired at
Very tired
all
1 2 3 4 5 6 7 8 9 10
63 CB 2013
W9. Has this interview been completed?
Yes 1 FINISH
ANSWER
No 0
W10
W10. Please write the number of the last question answered by the respondent:
_________________________________
THANK YOU.
64 CB 2013